Green Leaf Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GREEN LEAF PHYSICAL THERAPY PC

Practice address

501 5TH Ave RM 1204
New York, NY 10017-7873

Phone

(646) 777-2078

Fax

(646) 777-2057

NPI assigned

Aug 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Byeungguk Lim, DPT

Title

Owner

Phone

(646) 777-2078

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1720812977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 5TH AVE RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177873",
            "telephone_number": "646-777-2078",
            "fax_number": "646-777-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVE RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177873",
            "telephone_number": "646-777-2078",
            "fax_number": "646-777-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "BYEUNGGUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-777-2078",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Care Physical Therapy, P.C.
• Green Dentistry, P.C.
• Janette Karen Green Hurt, L.P.N.
• Green Key Resources
• Green Leaf Counseling LCSW PLLC
• Tamara Jean Green-Dachinger, TAMARA
• Rochelle Gloria Green-Doctor, M.A., OTR
• Claire J Green-Forde, LCSW
• Andrea S. Green-Lewis, LCSW-R
• Sandea Green-Stark, LCSW

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.